RT Journal A1 Moser M, Feig PU T1 FIfty years of thiazide diuretic therapy for hypertension JF Archives of Internal Medicine JO Archives of Internal Medicine YR 2009 FD November 9 VO 169 IS 20 SP 1851 OP 1856 DO 10.1001/archinternmed.2009.342 UL http://dx.doi.org/10.1001/archinternmed.2009.342 AB Background  The use of thiazide diuretics has decreased over the past 30 years despite data from many well-controlled clinical trials demonstrating that the use of these agents as monotherapy or in combination with other antihypertensive agents will reduce blood pressure and decrease cardiovascular as well as cerebrovascular events.Methods  We reviewed clinical and experimental data on thiazide diuretics since their introduction in the late 1950s.Results  The results of thiazide-based therapy in young and old are consistently positive despite concerns about some metabolic changes, eg, insulin resistance or hypokalemia, that may occur.Conclusion  We conclude that these agents are safe, effective, and well tolerated and should continue to be used either as monotherapy or with other medications in the management of hypertension.